2curlygirls

2curlygirls

NICU

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All Content by 2curlygirls

  1. Funny/happy NICU moments needed

    After a wonderful 6 months maternity leave home with my girls, I'm headed back to the NICU and I need some encouragement. Help me remember WHY I love my job despite the horrendous hours. OH, and my fridge died so 3/4 of my frozen milk supply was tha...
  2. Rupture of an unscarred uterus?

    We had a uterine rupture this morning. Baby was severely compromised and mom ended up in ICU. Mom was a multip with a previous NSVD. It was a post-dates induction. I know uterine ruptures are pretty rare but can someone give me some insight here? ...
  3. Rupture of an unscarred uterus?

    Just to clarify...I am NICU, we got the baby. Yes, they did use Cytotec from what I read in the delivery summary. Thanks for all your replies!
  4. Infant Pain Management

    Any doc at our facility who tried a circ with SweetEase alone would find him/herself out on their ear! Nurses would flat out refuse to assist!!! We, as adults, would not have genital (or any other) tissue removed without some form of anesthetic. Wh...
  5. EMLA Cream with Circs

    I am apalled. If they're going to surgically remove healthy tissue, at least give them Lidocaine!!! How cruel!
  6. NPO for labor?

    If this has been recently covered, I apologize. What are your policies regarding eating/drinking in labor? I just heard it claimed that eating prevents exhaustion and speeds up labor. Haven't found any evidence of speeding up labor but maybe I'm no...
  7. possible to be ruptured and be closed?

    I was! I ruptured in a spectacular fashion after a night of contraction every 5-7 minutes. After that, I went to the hospital and my contractions were 2 minutes apart! Got there and on exam I was "closed and firm". I had my daughter 16 hours and ...
  8. Required to watch circumcision?

    I watched one in nursing school. Horrible. Any future sons I have will be circ'ed over my dead cold body. Why would you want to surgically reduce the size of your son's penis? BEcause it's cleaner??? Yeah, an open wound in a diaper full of poop is...
  9. is nicu stressful?

    Yes. But I can't imagine doing anything else!
  10. Circumcized on a vent?

    I'm afraid to open this can of worms but.... I was on another forum and they were discussing circ'ing unstable babies. One person said her friend's baby was circ'ed while he was on a vent! This seems crazy to me! Please tell me this is not happenin...
  11. Circumcized on a vent?

    I know in many states, including mine, Medicaid won't pay for it. I really don't know about private insurance companies.
  12. Pregnant NICU nurse

    Being a pregnant NICU nurse is hard! I remember feeling the same way! I had weird dreams that my daughter needed to be in the NICU and I figured it would only be natural that I would be her nurse. I also dreamed that I got to take her out for a few...
  13. Circumcized on a vent?

  14. Circumcized on a vent?

    I was thinking that maybe she thought that they were circ'ing the baby when they were actually putting in lines? It's the only thing I can think of that makes any sense.
  15. The answer to this question is *no* IME (personal and professional). So many of our NICU babies go home breastfeeding. MOst of them have had very interrupted breastfeeding experiences. I breastfed my first daughter for 11 months. She got one bottl...
  16. Amicillin via UAC?

    In a pinch, yes. Ideally, no. I have to say, I've done it on quite a few occasions. My old unit (where I was trained) didn't seem to have much issue with doing it. But we also had really sick kids who tended to have all their other access ports o...
  17. The Circumcision Discussion

    Malpractice??? That's a good one. I could say the same thing for those who fervently advocate for this unnecessary practice. I think you missed the fact that I just don't discuss it with our NICU parents. Most of them don't do it anyway so it's r...
  18. The Circumcision Discussion

    Well, in some ways you're right. Appendectomy is ONLY done when it's needed. When there is a medical indication. Very much unlike a circ. BUt if you think that circ's don't place infants at risk for infection, stitches, adhesions, you are sorely ...
  19. The Circumcision Discussion

    So if there's a *risk* of it being botched. Why take that risk? You would never have to put epi on an uncirced penis to stop it from bleeding. So we traumatize them preemptively? While they're learning to breastfeed? And bond with their parents? ...
  20. The Circumcision Discussion

    Babylady, if you just graduated, i'm guessing you haven't had much opportunity to see what botched circ's look like. Or when they won't stop bleeding. Or when they get infected. I, unfortunately, have seen my share. And for what? The theoretical ...
  21. The Circumcision Discussion

    Wow. Are you serious? That terrifies me.
  22. The Circumcision Discussion

    Why does this topic seemingly remove rationality? You don't surgically remove healthy, functional tissue for no reason. It's so simple.
  23. Do you give meds through your UAC....

    If you have very limited access and many many meds to give? And it's an unstable baby?
  24. PDA murmurs

    I'm embarrassed. I've never been good at hearing them. I thought I was getting better but I'm not sure. Anyone have any tips? Some kind of CD-rom of murmurs? It's time I corrected this problem in my practice once and for all.
  25. PDA murmurs

    Yeah, the whoppers are no problem. I always check for palmar pulses if the pulse pressures are wide. I *think* I'm improving. But I feel like I should have this down by now gosh darn-it!